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증례 ; 다채널 강내 임피던스 검사로 진단된 공기삼킴증 1예
손기창 ( Ki Chang Sohn ),정영훈 ( Young Hoon Jeong ),조동호 ( Dong Ho Jo ),허원각 ( Won Gak Heo ),염동한 ( Dong Han Yeom ),최석채 ( Suck Chei Choi ),류한승 ( Han Seung Ryu ) 대한소화기학회 2015 대한소화기학회지 Vol.66 No.5
Aerophagia is a disorder caused by abnormal accumulation of air in the gastrointestinal tract as a result of repetitive and frequent inflow of air through the mouth. For the diagnosis of this condition, it is difficult to objectively measure the air swallowing. However, multichannel intraluminal impedance monitoring facilitates the differential diagnosis between normal air swallowing and pathologic aerophagia, and can aid in the determination of the frequency and amount of air swallowed. In this report, in addition to a literature review, we describe a case of 36-year-old man with abdominal distension who was diagnosed with aerophagia using esophageal impedance monitoring and was treated with clonazepam. (Korean J Gastroenterol 2015;66:282-285)
허혈성 대장염 없이 전신성 홍반성 루푸스에서 발현한 직장 궤양
손기창 ( Ki Chang Sohn ),허원각 ( Won Gak Heo ),주민수 ( Min Su Chu ),김의중 ( Eui Joong Kim ),정종혁 ( Jong Hyeok Chung ),최석채 ( Suck Chei Choi ),윤기중 ( Ki Jung Yun ),서검석 ( Geom Seog Seo ) 대한소화기학회 2019 대한소화기학회지 Vol.73 No.5
Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old female patient was hospitalized with abdominal pain and hematochezia. Sigmoidoscopy revealed only a simple rectal ulcer without ischemic colitis. cytomegalovirus and bacterial infections were excluded. A sigmoidoscopic rectal biopsy indicated a rectal invasion by SLE, but the patient showed an acute worsening conditions that did not respond to treatment. This paper reports a case of rectal ulcer that developed in SLE without ischemic colitis with a review of the relevant literature. (Korean J Gastroenterol 2019;73:299-302)
증 례 : 특발성 맹장 궤양의 미세천공에 의한 다발성 화농성 간농양
염동한 ( Dong Han Yeom ),손기창 ( Ki Chang Sohn ),주민수 ( Min Su Chu ),조동호 ( Dong Ho Jo ),조은영 ( Eun Young Cho ),김학철 ( Haak Cheoul Kim ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.1
Idiopathic cecal ulcer is a rare disease entity of unknown cause diagnosed by ruling out other known causes of cecal ulceration.The most common complication of an idiopathic cecal ulcer is bleeding; perforation, peritonitis, abscess, and stricture formation have been noted. The authors treated a 53-year-old woman who presented with fever and intermittent right upper quadrant abdominal pain. Multiple pyogenic liver abscess and a solitary cecal ulcer were diagnosed by radiologic, endoscopic, and pathologic examination, followed by laparoscopic cecectomy. After extensive study, we concluded that this patient’s liver abscesses were a complication of the idiopathic cecal ulcer. Herein, we report a case of multiple pyogenic liver abscess caused by microperforation of idiopathic cecal ulcer.(Korean J Gastroenterol 2016;67:44-48)
증례 : 호흡기 ; 원인 미상의 호산구성 기관지내 점액박힘에 의한 폐쇄성 폐렴 1예
정재완 ( Jae Wan Jung ),황기은 ( Ki Eun Hwang ),손기창 ( Ki Chang Sohn ),임병훈 ( Byung Hun Lim ),조경화 ( Kyung Hwa Cho ),김학렬 ( Hak Ryul Kim ),정은택 ( Eun Taik Jeong ) 대한내과학회 2015 대한내과학회지 Vol.89 No.6
We report an unusual case of obstructive pneumonia due to an unknown eosinophilic mucoid impaction of the bronchi (MIB). A 54-year-old woman visited our hospital for investigation of abnormal shadows visible on a chest radiograph. Chest computed tomography and bronchoscopic examination revealed pneumonia due to MIB. Histopathological examination of biopsied mucosal tissue revealed extensive eosinophilic infiltration. With the exclusion of medical diseases that can cause eosinophilia, pneumonia due to eosinophilic mucoid impaction of the bronchi was diagnosed. The cause of the eosinophilia remained unknown. The pneumonia and mucoid impaction resolved after oral steroid therapy. (Korean J Med 2015;89:699-703)
김의중 ( Eui Joong Kim ),주민수 ( Min Su Chu ),손기창 ( Ki Chang Sohn ),조동호 ( Dong Ho Cho ),나가혜 ( Ga Hye Na ),김학철 ( Haak Cheoul Kim ),조은영 ( Eun Young Cho ) 대한소화기학회 2017 대한소화기학회지 Vol.69 No.1
Pancreatic panniculitis is a rare complication characterized by subcutaneous fat necrosis associated with pancreatic disease. It has been postulated that pancreatic panniculitis is caused by the systemic activity of pancreatic enzymes that lead to microcirculatory disturbances. We report a 41-year-old heavy alcoholic woman with pancreatic panniculitis that coexisted with acute and chronic pancreatitis. She was diagnosed with chronic pancreatitis and alcoholic liver cirrhosis 5 years ago. She presented with multiple, tender, erythematous, subcutaneous nodules with heat sensation on both lower legs. Laboratory evaluation revealed an increase in the serum blood amylase and lipase. Histopathologic findings showed fat necrosis with inflammation around the necrotic subcutaneous fat tissue. The lesions subsided gradually with an improvement of acute pancreatitis. (Korean J Gastroenterol 2017;69:83-86)
다발성 골수종 환자에서 Bortezomib에 의한 급성 췌장염
임재홍 ( Jae Hong Lim ),황교범 ( Kyo Bum Hwang ),임병훈 ( Byung Hun Lim ),정영훈 ( Young Hoon Jeong ),손기창 ( Ki Chang Sohn ),김태현 ( Tae Hyeon Kim ) 대한췌장담도학회 2015 대한췌담도학회지 Vol.20 No.3
Bortezomib is a proteasome inhibitor used for the treatment of patients with multiple myeloma. Recently, several case reports about acute pancreatitis caused by Bortezomib were published in the international literature. But Bortezomib induced pancreatitis case was not reported in Korea. Herein, we report a case of acute pancreatitis caused by Bortezomib therapy in a 76-year-old female with multiple myeloma. On three months after the first administration of Bortezomib, the patient visited the hospital with symptoms of acute pancreatitis. The common etiological factors for acute pancreatitis were all excluded. Then the patient was diagnosed as Bortezomib-induced pancreatitis. After cessation of Bortezomib, she showed clinical and laboratory improvement.